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Heliox Option in the SERVO-i

We now have this capability on a few ventilators!. Heliox Option in the SERVO-i. Who: All staff who work in the adult & pediatric critical care areas. What: SERVO-i heliox option competency. [If you missed the live inservices last week,

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Heliox Option in the SERVO-i

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  1. We now have this capability on a few ventilators! Heliox Option in the SERVO-i Who: All staff who work in the adult & pediatric critical care areas. What: SERVO-i heliox option competency. [If you missed the live inservices last week, you will need to review the enclosed materials and sign the accountability sheet.] When: Completed by August 17th, 2009. Failure to complete may result in corrective action. Where: Folder with information is in the RC Classroom.

  2. SERVO-i Heliox OptionCompetency Objectives • Identify which ventilators have the heliox option. • Understand the differences in the SERVO-i’s with the heliox option. • Locate the on-screen indicator that heliox is in use. • Review ventilator settings and make adjustments as appropriate following gas changes. • Know how to provide heliox if the special options ventilators are not available.

  3. Ventilator Identification • SERVO-i ventilators which have the heliox option have been clearly labeled and can be identified by a “HELIOX” tag on the front of the ventilator.

  4. Heliox Option: Benefits & Advantages • Has a special software module added that identifies change in gas. • Can be used for all patient categories and it is compatible with all ventilation modes. • Advantages include the ability to easily and quickly switch between air and heliox during ventilation without going to standby, to save time and improve comfort for the patient. • The low gas consumption of the SERVO-i makes heliox therapy cost effective to use.

  5. Heliox/Air Connections • Heliox vents come with readily identifiable, quick-connect attachments for easily changing the gas source. • The heliox attachment includes a high-pressure hose. This hose as well as both quick-connects are attached to the ventilator with cables. • This high-pressure heliox hose can only be used with specially adapted, H-cylinder regulators which should be readily available and easily identifiable.

  6. heliox high-pressure hose heliox/air quick-connect

  7. Heliox delivery is confirmed by the presence of the “HeO2” symbol on the SERVO-i screen . . . . . . as well as a confirmation message.

  8. Switching back to air will also give a confirmation message.

  9. When switching gas from air and O2 to Heliox and back, volume monitoring as well as flow delivery are adjusted automatically by the ventilator’s Automatic Gas Identification NOTE: Trigger sensitivity will decrease when heliox is connected and may have to be MANUALLY increased when changing back to air! Please recheck all settings when changing gases.

  10. When changing gases, you will get a brief “O2 Concentration High” alarm while the heliox/air is disconnected. There will be no changes in ventilator function.

  11. Points to Remember • If these special ventilators are all in use and you need to start heliox, you will need to set it up on the SERVO 300A just as we always have. • The current “Helium/oxygen Mixed Gas Therapy” policy will be adjusted to include the SERVO-i option. • Charting and Cerner documentation will NOT change.

  12. Vent Locations • Methodist • 1 heliox vent – located in the department or in the PICU area • University • 1 heliox vent – located in the department • Riley • 4 heliox vents – located in the PICU RC workroom If you have any questions, please see your Education or Equipment Coordinator, or consult with a Clinical Specialist.

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